415.479.4977

patient info

Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.


form iconWelcome
form iconKids
form iconPatient Acknowledgment
form iconPrivacy Practices
form iconSmile Analysis

patient information

San Rafael Cosmetic Dentist

Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • Saturday:
  • 8:00 am - 6:00 pm
  • 8:00 am - 6:00 pm
  • 8:00 am - 6:00 pm
  • Closed
  • 8:00 am - 6:00 pm
  • 8:00 am - 1:00 pm


On Wednesdays a hygienist is available at 7:00am

Saturday appointments are available once a month

Contact Info
Phone | 415 479-4977
Fax | 415 479-5043
E-mail |

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San Rafael Dentist Dr. Melissa E. Rinck  - Side IconRequest an Appointment

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We will contact you to confirm an appointment date and time as soon as possible.

You can also call us at 415 479-4977 to request an appointment.